Hais kom tus kws tshaj lij: Ib qho Zaum nrog Gastro

Zoo Siab

• Puas yog nws ua tau rau kev ntxias dag nrog mob siab plab (UC)? Kuv yuav paub tau li cas tias nws yog qhov ua tsis yog lossis kuv xav tau kev kho mob txawv?
• Dab tsi yog cov muaj teeb meem ntawm qhov tsis kho lossis tsis raug kho UC?
• Cov kev kho muaj rau UC yog dab tsi? Puas muaj qee tus ua haujlwm zoo dua lwm tus?
• Kev tiv thaiv hluav taws xob
• Tshuaj tua kab mob
• Kev txhaj tshuaj tiv thaiv kab mob
• Kev siv tshuaj lom
• Puas muaj cov kev mob tshwm sim ntawm cov tshuaj Kuv yuav tsum paub txog?
• Siv tshuaj tiv thaiv
• Tshuaj tua kab mob
• Kev txhaj tshuaj tiv thaiv kab mob
• Kev siv tshuaj lom
• Kuv yuav paub tau li cas yog tias kuv txoj kev khomob tsis ua haujlwm zoo?
• Dab tsi yog yam tshwm sim ntawm UC?
• UC muaj ntau npaum li cas? IBDs? Yog nws muaj keeb?
• Puas muaj cov tshuaj ntsuab rau UC? Lwm txoj kev kho kom zoo? Lawv puas ua haujlwm?
• Noj tshuaj kho mob
• Tshuaj ntsuab kho qhov muag
• Kev tswj hwm kev ntxhov siab
• Kev tawm dag zog
• Kuv puas yuav tsum xav txog kev phais mob?
• Qhov twg tuaj yeem nrhiav cov ntaub ntawv ntau ntxiv ntawm UC lossis nrhiav kev txhawb nqa los ntawm cov neeg kuj nyob nrog tus mob no?

Puas yog nws ua tau rau kev ntxias dag nrog mob siab plab (UC)? Kuv yuav paub tau li cas tias nws yog qhov ua tsis yog lossis kuv xav tau kev kho mob txawv?

Cov tib neeg feem ntau ua rau UC muaj Crohn tus mob. Crohn's kuj tseem yog muaj mob raws plab hnyuv (IBD). Qee qhov ntawm cov tsos mob no zoo li, xws li kev tshem tawm thiab maj mam ua haujlwm.

Txhawm rau txiav txim siab yog tias koj muaj UC lossis Crohn's, mus ntsib koj tus kws kho mob thiab kuaj. Tej zaum koj yuav tsum tau rov kuaj dua txoj hnyuv, lossis tus kws kho mob yuav xoo hluav taws xob xoo hluav taws xob mus kuaj xyuas seb nws puas tau cuam tshuam. Yog tias nws muaj, tej zaum koj yuav muaj Crohn's kab mob. UC tsuas cuam tshuam cov hnyuv loj. Hauv qhov tsis sib thooj, Crohn's tuaj yeem cuam tshuam ib feem ntawm koj txoj hnyuv (GI) cov kab mob.

Dab tsi yog cov muaj teeb meem ntawm qhov tsis kho lossis tsis raug kho UC?

Kev siv tshuaj tsis zoo los yog tsis kho UC yuav ua rau mob plab, raws plab, thiab tawm ntshav ntawm qhov quav. Los ntshav hnyav tuaj yeem ua rau nkees heev, cim kev ua haujlwm tsis txaus, thiab ua pa siav. Yog tias koj lub UC hnyav heev uas nws tsis teb rau kev kho mob, tus kws kho mob yuav pom zoo kom tshem tawm txoj hnyuv (tseem hu ua hnyuv loj).

Cov kev kho muaj rau UC yog dab tsi? Puas muaj qee tus ua haujlwm zoo dua lwm tus?

Koj muaj cov kev kho mob hauv qab no rau UC:

Kev tiv thaiv hluav taws xob

Cov tshuaj no feem ntau yog thawj txoj haujlwm nkaus rau kev kho mob UC. Lawv suav nrog corticosteroids thiab 5-aminosalicylates (5-ASAs). Nyob ntawm seb feem twg ntawm cov nyuv muaj kev cuam tshuam, koj tuaj yeem noj cov tshuaj no ntawm qhov ncauj, ua rau noj tshuaj, lossis ntxiv rau qhov tso quav.

Tshuaj tua kab mob

Cov kws kho mob sau ntawv muab tshuaj rau noj yog tias lawv xav tias muaj kab mob hauv koj txoj hnyuv. Txawm li cas los xij, cov neeg uas muaj UC feem ntau qhia kom tsis txhob noj tshuaj tua kab mob vim tias lawv tuaj yeem ua rau mob raws plab.

Kev txhaj tshuaj tiv thaiv kab mob

Cov tshuaj no tuaj yeem tswj tus mob. Lawv suav nrog mercaptopurine, azathioprine, thiab cyclosporine. Sib txuas nrog koj tus kws kho mob yog tias koj noj cov tshuaj no. Cov kev mob tshwm sim tuaj yeem cuam tshuam koj lub siab ntxiv rau koj cov txiav ua ke.

Kev siv tshuaj lom

Kev siv tshuaj lom neeg suav nrog Humira (adalimumab), Remicade (infliximab), thiab Simponi (golimumab). Lawv kuj muaj npe hu ua qog necrosis factor (TNF) inhibitors. Lawv tswj hwm koj lub cev kev tsis haum xeeb. Entyvio (vedolizumab) yog siv rau kev kho mob ntawm UC hauv cov neeg uas tsis teb lossis tsis tuaj yeem tiv taus ntau yam kev kho mob.

Puas muaj cov kev mob tshwm sim ntawm cov tshuaj Kuv yuav tsum paub txog?

Hauv qab no yog cov npe tshuaj qee cov tshuaj UC feem ntau nrog lawv cov kev mob tshwm sim:

Siv tshuaj tiv thaiv

Cov kev mob tshwm sim ntawm 5-ASAs suav nrog ntuav, xeev ntuav, thiab tsis qab los.

Hauv lub sijhawm ntev, corticosteroids tuaj yeem ua rau muaj kev mob tshwm sim xws li ntshav siab, muaj kev pheej hmoo kis tus mob, ntshav qab zib cov ntshav siab, mob nyhav, nce lub cev, hloov lub siab, cataracts, insomnia, thiab pob txha tsis muaj zog.

Tshuaj tua kab mob

Cipro thiab Flagyl feem ntau yog tshuaj rau cov neeg uas muaj UC. Lawv cov kev mob tshwm sim suav nrog kev mob plab, raws plab, tsis qab los, thiab ntuav.

Cipro yog tshuaj tua kab mob fluoroquinolone. Cov tshuaj fluoroquinolones tuaj yeem ua rau muaj kev pheej hmoo los kua muag lossis ua rau lub hlwb tawg, uas tuaj yeem ua rau ntshav los ntshav ntau, tuag taus.

Cov neeg laus thiab cov neeg uas muaj keeb kwm pob txha caj qaum los yog qee cov kab mob plawv plawv tuaj yeem muaj kev pheej hmoo ntau dua. Qhov kev tshwm sim tsis zoo no tuaj yeem tshwm sim nrog ib qho tshuaj fluoroquinolone noj ntawm qhov ncauj lossis ua ib qho kev txhaj tshuaj.

Kev txhaj tshuaj tiv thaiv kab mob

6-mercaptopurine (6-MP) thiab azathioprine (AZA) tuaj yeem ua rau muaj kev mob tshwm sim xws li txo qis kev tiv thaiv kab mob, tawv nqaij tawv nqaij, mob siab, thiab mob qog nqaij hlav.

Kev siv tshuaj lom

Kev siv tshuaj lom neeg suav nrog Humira (adalimumab), Remicade (infliximab), Entyvio (vedolizumab), Certolizumab (Cimzia), thiab Simponi (golimumab).

Cov kev mob tshwm sim feem ntau suav nrog khaus, liab, mob los yog o me me nyob ze ntawm qhov chaw txhaj tshuaj, ua npaws, mob taub hau, ua daus no thiab tawm pob.

Kuv yuav paub tau li cas yog tias kuv txoj kev khomob tsis ua haujlwm zoo?

Yog tias koj cov tshuaj tsis ua haujlwm, koj yuav muaj kev zawv plab tsis tu ncua, los ntshav tawm ntawm qhov ncauj, thiab mob plab - txawm tias tom qab peb mus rau plaub asthiv ntawm cov tshuaj no.

Dab tsi yog yam tshwm sim ntawm UC?

Cov teeb meem tshwm sim ntawm UC suav nrog mis nyuj, taum, kas fes, noob, zaub cob pob, pob kws, thiab dej cawv.

UC muaj ntau npaum li cas? IBDs? Yog nws muaj keeb?

Raws li kev kwv yees tam sim no, hais txog tau nyob nrog IBD. Yog tias koj muaj ib tus neeg hauv tsev neeg uas muaj IBD, nws tuaj yeem nce koj qhov kev pheej hmoo ntawm kev loj hlob.

• Feem ntau ntawm UC yog 238 rau txhua 100,000 tus neeg laus.
• Qhov tseeb ntawm Crohn's yog hais txog 201 rau txhua 100,000 tus neeg laus.

Puas muaj cov tshuaj ntsuab rau UC? Lwm txoj kev kho kom zoo? Lawv puas ua haujlwm?

Rau cov tib neeg uas tsis tuaj yeem tiv thaiv kev noj tshuaj, muaj ob peb yam kev xaiv ua.

Noj tshuaj kho mob

Cov pluas noj uas tsis tshua muaj fiber ntau thiab muaj roj zoo li yuav pab tau zoo nyob rau txo qis zaus ntawm UC flare-ups. Kev tshem tawm qee cov zaub mov ntawm koj cov zaub mov muaj peev xwm ua tau tib yam. Piv txwv li cov mis nyuj, cawv, nqaij, thiab cov zaub mov uas muaj carb ntau.

Tshuaj ntsuab kho qhov muag

Muaj ntau yam tshuaj ntsuab zoo tuaj yeem tsim nyog rau kev kho mob ntawm UC. Lawv suav nrog Boswellia, psyllium noob / husk, thiab turmeric.

Kev tswj hwm kev ntxhov siab

Koj tuaj yeem tiv thaiv kev rov huam mob UC nrog kev kho mob kev ntxhov siab, xws li yoga los yog xav.

Kev tawm dag zog

Ntxiv cov kev tawm dag zog tsis tu ncua rau koj niaj hnub ua tuaj yeem pab tswj tau koj qhov UC.

Kuv puas yuav tsum xav txog kev phais mob?

Kwv yees li 25 txog 40 feem pua ​​ntawm cov neeg uas tau UC xav phais kom tshem tau txoj hnyuv tawm.

Kev phais mob yuav tsum tau vim yog cov hauv qab no:

• tsis ua hauj lwm ntawm kev kho mob
• ntev los ntshav
• phiv loj heev ntawm qee cov tshuaj

Qhov twg tuaj yeem nrhiav cov ntaub ntawv ntau ntxiv ntawm UC lossis nrhiav kev txhawb nqa los ntawm cov neeg kuj nyob nrog tus mob no?

Ib qho tsis txaus ntseeg thiab muaj pov thawj siv tau yog Crohn's thiab Colitis Foundation ntawm Asmeskas. Nws yog ib lub koom haum ua haujlwm tsis muaj txiaj ntsig nrog nrog cov ntsiab lus muaj txiaj ntsig ntawm kev tswj hwm UC.

Koj tuaj yeem nrhiav cov ntaub ntawv ntau ntxiv uas yog koom nrog ntau lub UC social media community. Koj yuav tau txais txiaj ntsig los ntawm kev sib ntsib thiab sib txuas nrog lwm tus neeg uas tau daws cov teeb meem tib yam.

Koj tuaj yeem pab tawm tswv yim los ntawm kev teeb tsa cov rooj sib tham, cov txheej xwm thiab cov haujlwm. Cov no muab sijhawm rau cov neeg cuam tshuam los ntawm tus kabmob los pauv cov lus qhia, cov dab neeg, thiab cov peev txheej.

Dr. Saurabh Sethi yog ib pawg kws saib xyuas mob-cov kws kho mob tshwj xeeb txog kev kho mob plab, nqaij tawv, thiab kev tiv thaiv sab nrauv. Xyoo 2014, Dr. Sethi ua tiav nws txoj kev mob kev nkeeg thiab kev ua kom haum kab mob siab nyob rau hauv Beth Israel Deaconess Medical Center ntawm Harvard Medical School. Tsis ntev tom qab, nws ua tiav nws qhov kev pom zoo kawg rau kev sib raug zoo ntawm Stanford University hauv 2015. Dr. Sethi tau koom nrog ntau phau ntawv thiab tshawb fawb, suav nrog ntau dua 30 cov neeg siv tshuaj xyuas. Dr. Sethi qhov kev txaus siab suav nrog kev nyeem ntawv, blog, ncig mus ncig, thiab kev noj qab haus huv pej xeem.